HomeMy WebLinkAboutHMP 2020-0002; GOERTZEN RESIDENCE; Habitat Management Permit (HMP)(cicyof
Carlsbad
LAND USE REVIEW
APPLICATION
P-1
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
APPLICATIONS APPLIED FOR: (CHECK BOXES)
O,Velopment P,antt,
D Coastal Development Pennit D Minor
D Conditional Use Pennlt
D Minor D Extension
D Day Care (Large)
□ Environmental Impact Assessment
□ Habitat Management Pennlt ~inor
□ HIiiside Development Pennlt 0Minor
□ Nonconfonnlng Construction Pennlt
□ Planned Development Pennlt 0Minor
D Residential D Non-Residential
□ Planning Commission Detennlnatlon
□ Reasonable Accommodation
□ Site Development Plan 0Minor
□ Special Use Pennlt
□ Tentative Parcel Map (Minor Subdivision)
□ Tentative Tract Map (Major Subdivision)
□ Variance 0Minor
(FOR DEPT. USE ONLY) Legislative Perm/ts
\\VA't'WW-
C)t',f'J1
0 General Plan Amendment
0 Local Coastal Program Amendment
D Master Plan
D Specific Plan
0 Zone Change
□Amendment
□Amendment
0 Zone Code Amendment
South Carlsbad Coutal Review A,..
Permits
0 Review Pennlt
0 Administrative O Minor O Major
Village Review AIJf Permits
D Review Pennlt
D Administrative D Minor D Major
(FOR DEPT. USE ONLY)
NOTE: A PROPOSED PROJECT REQUIRING APPLICATION SUBMITTAL MUST BE SUBMITTED BY APPOINTMEN,... PLEASE CONTACT THE APPOINTMENT SPECIALIST
AT (780) 802-2723 10 SCHEDULE AN APPOINTMENT.
ASSESSOR PARCEL NO(S):
LOCATION OF PROJECT:
NAME OF PROJECT:
BRIEF DESCRIPTION OF
PROJECT:
PROJECT VALUE
(SITE IMPROVEMENTS}
FOR CITY USE ONLY
Development No. Qfi/2-{)tC\-Q\ 74
P-1
"SAME DAY APPOINTIIENTS ARE NOT AVAILABLE
(STREET ADDRESS)
L ,.Jg" c: e..
ESTIMATED COMPLETION DATE
Lead Case No. \.Wyf 2:0ZO::a:t::52.,,
Page 1 of 6 Revised 03117
OWNER NAME
INDIVIDUAL NAME
Of applicable):
COMPANY NAME
(If applicable):
MAILING ADDRESS:
(PLEASE PRIND APPLICANT NAME
INDIVIDUAL NAME
(If applicable):
COMPANY NAME
(If applicable):
MAILING ADDRESS:
(PLEASE PRIND
I CERTIFY THAT I AM THE LEGAL OWNER AND THAT ALL THE ABOVE I CERTIFY THAT I AM THE LEGAL REPRESENTATIVE OF THE OWNER
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY AND THAT ALL THE ABOVE INFORMATION IS TRUE AND CORRECT TO
KNOM.EDGE. I CERTIFY AS LEGAL OWNER THAT THE APPLICANT Af3 THE BEST OF MY KNOWLEDGE.
SET FOR EREIN IS MY AUTHORIZED REPRESENTATIVE FOR
PURP F HIS APP ON.
APPLICANTS REPRESENTATIVE (Print):
MAILING ADDRESS:
CITY, STATE, ZIP:
TELEPHONE:
EMAIL ADDRESS:
I CERTIFY THAT I AM THE REPRESENTATIVE OF THE APPLICANT FOR
PURPOSES OF THIS APPLICATION AND THAT ALL THE ABOVE
INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOM.~E~!:!ii,.--=::::::;:::::>
IN THE PROCESS OF REVIEWING THIS APPLICATION IT MAY BE NECESSARY FOR MEMBERS OF CITY STAFF, PLANNING
COMMISSIONERS OR CITY COUNCIL MEMBERS TO INSPECT AND ENTER THE PROPERTY THAT IS THE SUBJECT OF THIS
APPLICATION. WJE CONSENT TO ENTRY FOR THIS PURPOSE.
NOTICE OF RESTRICTION: PROPERTY OWNER ACKNOWLEDGES AND CONSENTS TO A NOTICE OF RESTRICTION BEING
RECORDED ON TITLE TO HIS PROPERTY IF CONDITIONED FOR THE APPLICANT. NOTICE OF RESTRICTIONS RUN WITH
THE LAND IN AN CESSOR$ IN INTEREST.
JAN 2 ! 202~
Cl I y' u, ✓ Lv
I ~ I
OAT STA'MPAPPLICATION RECEIVED
RECEIVED BY:
P-1 Page 2of 6 Revised 03/17
Indemnification and Insurance Requirement for Villa e Area Administrative Permit
Certification Statement
I Certify that I am the Legal Business Owner of the subject business and that all of the above information is true
and correct to the best of my knowledge. I agree to accept and abide by any conditions placed on the subject
project as a result of approval of this application. I agree to indemnify, hold harmless, and defend the City of
Carlsbad and its officers and employees from all claims, damage or liability to persons or property arising from or
caused directly or indirectly by the installation or placement of the subject property on the public sidewalk and/or
the operation of the subject business on the public sidewalk pursuant to this permit unless the damage or liability
was caused by the sole active negligence of the City of Carlsbad or its officers or employees. I have submitted a
Certificate of Insurance to the City of Carlsbad in the amount of one million dollars issued by a company which has
a rating in the latest "Best's Rating Guide· of "A-" or better and a financial size of $50-$100 (currently class VII) or
better which lists the City of Carlsbad as "additional insured" and provides primary coverage to the City. I also
agree to notify the City of Carlsbad thirty days prior to any cancellation or expiration of the policy. The notice shall
be delivered to:
City Planner
City of Carlsbad
1635 Faraday Avenue
Carlsbad
The insurance shall remain in effect for as long as the property is placed on the public sidewalk or the business is
operated on the public sidewalk. This agreement is a condition of the issuance of this administrative permit for the
subject of this permit on the public sidewalk. I understand that an approved administrative permit shall remain in
effect for as long as outdoor displays are permitted within the Village Review Area and the permittee remains in
compliance with t ubject a~proved permit.
Date: Ww
Certif,cation Statement
I Certify that I am the Legal Property OWner for the subject business location and that all of the above information
is true and correct to the best of my knowledge. I support the applicant's request for a permit to place the subject
property on the public sidewalk. I understand that an approved administrative permit shall remain in effect for as
long as outdoor displays are permitted within the Village Review Area and the permittee remains In compliance
with the subject aw ved permit.
P-1 Page3of6
Date: l /{, /u, r,
Revised 03117
LETTER OF TRANSMITTAL
PASCO LARET SUITER
& ASSOCIATES
CIVIL E.NGINErnlNG + LAND PLMmlNG + LAND SUF<VEYING
535 N Coast Highway 101 Ste A Solana Beach, CA 92075
ph 858.259.8212 I fx 858.259.48[2 J plsaengineering.com
DATE JOB NO.
01-21-20 3104-01
ATTENTION
Planning Dept
RE: Lot 84 El Fuerte Street
PD2019-0322 I GR2019-0039 I DWG 520-8A
To: City of Carlsbad
Copies
1
4
1
1
1
1
1
2
2
2
1
2
2
1
1
Attn: Planning Department
1635 Faraday Avenue
Carlsbad, CA 92008
Date No. Description
Habitat Management Plan Permit-Minor (P-17)
Site Plan
Land Use Application Form (P-1)
Disclosure Statement (P-lA)
Project Description (P-1 B)
Hazardous Waste and Substances Statement (P-lC)
EIA Information Form (P-lD)
Storm Water Questionnaire (E34)
Standard Project Requirement Checklist (E-36)
Biology Letter
Radius Map
Property Owner List
Property Owner Labels
Certification Statement from Title Pro IS
Plan Check Fee
/ Fabian
p: (858) 259-8212 x141
e: ofabian@plsaengineering.com.
( Cicyof
Carlsbad
DISCLOSURE STATEMENT
P-1(A)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Applicant's statement or disclosure of certain ownership interests on all applications which will
require discretionary action on the part of the City Council or any appointed Board, Commission
or Committee.
The following information MWil be disclosed at the time of application submittal. Your project
cannot be reviewed until this information is completed. Please print.
Note:
Peraon Is defined as •Any Individual, firm, co-partnership, joint venture, association, soolal club, fraternal
organization, corporation, estate, trust, receiver, syndicate, In this and any other county, city and county,
city municipality, district or other political subdivision or any other group or combination acting as a unit.·
Agents may sign this document; however, the legal name and entity of the applicant and property owner
must be provided below.
1. APPLICANT (Not the applicant's agent)
Provide the COMPLETE, LEGAL names and addresses of & persons having a
financial interest in the application. If the applicant includes a corporation or partnership.
include the names, titles, addresses of all individuals owning more than 10% of the
shares. IF NO INDIVIDUALS OWN MORE THAN 10% OF THE SHARES, PLEASE
INDICATE NON-APPLICABLE (N/A) IN THE SPACE BELOW. If a publicly-owned
corporation, include the names, titles, and addresses of the corporate officers. (A
separate page may be attached if necessary.)
Person._________ Corp/Pa~_l/4-w~,rl:
Title.___ Tltle.~A -1~r.c.i.::u.a.J,~"t--
Address_________ Addre;p;;;~ f;.:-'4 0,~.,G4
2. OWNER (Not the owner's agent)
P-1(A)
Provide the COMPLETE, LEGAL names and addresses of AY: persons having any
ownership interest in the property involved. Also, provide the nature of the legal
ownership (i.e., partnership, tenants in common, non-profit, corporation, etc.). If the
ownership includes a corporation or partnership. include the names, titles, addresses of
all individuals owning more than 10% of the shares. IF NO INDIVIDUALS OWN MORE
THAN 10% OF THE SHARES, PLEASE INDICATE NON-APPLICABLE (NIA) IN THE
SPACE BELOW. If a publicly-owned corporation, include the names, titles, and
addresses of the corporate officers. (A separate page may be attached if necessary.)
Person 1-1,.ey l-l•cr:izcta
Title n •• 83,':) b,4 .,.J..,
Address to t\•l{ 11,K
bd th,.J. CA 121,1
Corp/Part L, _._ 4 ,c.-• to,
Title t\ c -.b ,,_ r
Address eo 4'•Jr 11 ~£" • /4. D. ,.,., CA tz,, 1
Page 1 of2 Revised 07/10
,
3. NON-PROFIT ORGANIZATION OR TRUST
If any person identified pursuant to (1) or (2) above is a nonprofit organization or a trust.
list the names and addresses of ANY person serving as an officer or director of the non-
profit organization or as trustee or beneficiary of the.
Non Profit/Trust Non Profit/Trust ----------------
Title -----------Tit I e ____________ _
Address. _________ _ Address ___________ _
4. Have you had more than $500 worth of business transacted with any member of City
staff, Boards, Commissions, Committees and/or Council within the past twelve (12)
months?
D Yes ,0' No If yes, please indicate person(s): __________ _
NOTE: Attach additional sheets if necessary.
Print or type name of owner
&/AH!~~ ~t;,..
Print or type name applicant
Signature of owner/applicant's agent if applicable/date
Print or type name of owner/applicant's agent
P-1(A) Page2 of2 Revised 07/10
Ccicyof
Carlsbad
PROJECT DESCRIPTION
P-1(8)
PROJECT NAME: Cios-r1zco R,,,J•l'\G<-
APPLICANT NAME: GS Oc.u<Jap Mc n t
-
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Please describe fully the proposed project by application type. Include any details necessary to
adequately explain the scope and/or operation of the proposed project. You may also include
any background information and supporting statements regarding the reasons for, or
appropriateness of, the application. Use an addendum sheet if necessary.
Description/Explanation:
1Vt\':? LAM7 \1% ~ttA:tt,oN ~ ~ ~~re}? ~y ~
I ?-VM ~ ~\.»'Al)~ ~~tJ\,4\Jt:. ~AiP-~r ~ F.kl"-< op
tVce \A"6t~,ntlc"r MA:tJArtve.\.\A.Ao'Jf ~ ~, ~\2-~r~-
t-J~u ~QW\t\ -001ti. 'O\'€. Ft?Dt~ r~~~ tb ~~u
I( 41,N~ve -FA~\v\l ~\t::>e\JPE:, "Pt,..) w,, wNP~r9" 41 re: .
ot,.l -~~ ~~W'ft, J ~o/~~ A:fvt;, l..AN'P~Ck/'e, \~~\rg~5: I
M-'O D~ A-'-'ClV\(l~ f'IPltAv to 4-tN?\L-e. -~\V/ ~U-bG\,MJ
k\f€.. /J,::;U,O ,ayJ,::; ~~-o~ •
P-1(8) Page 1 of 1 Revised 07/10
(cicyof
Carlsbad
HAZARDOUS WASTE
AND SUBSTANCES
STATEMENT
P-1(C)
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
Consultation of Lists of Sites Related to Hazardous Wastes
(Certification of Compliance with Government Code Section 65962.5)
Pursuant to State of California Government Code Section 65962.5, I have consulted the
Hazardous Waste and Substances Sites List compiled by the California Environmental
Protection Agency and hereby certify that (check one):
0 The development project and any alternatives proposed in this application are not contained on the
lists compiled pursuant to Section 65962 .5 of the State Government Code.
D The development project and any alternatives proposed in this application !!! contained on the lists
compiled pursuant to Section 65962.5 of the State Government Code.
APPLICANT
Name:~ ~u4,,_,..,..,/ ~
Address: Po 8•K fl,-,£
at! 0.,y ,, .C,C ?Li~T
Phone Number: «I:· '1'11-'f'f 11
PROPERTY OWNER
Name: l !]$ \ 11,ottMI' la.t <=
Address: r".4) f1ex "f/J,:S: . ,d a-:,-, c.A u,~-,
Phone Number: «-ttf'-l/l.fr-4"111
Address of Site: .;u;.53 A. c. u O,A Court
L-Agency (City amt County): C-.r\sw r-lw,,~ °'T c ... 111:I Y
Assessor's book, page, and parcel number: _____ A_ts_-_'i ... '1 ........ l_-__ 0 __ 1l_....._ ________ _
Specifylist(s): __________________________ _
Regulatory Identification Number: ____________________ _
Date of list: ________________ -21"~->r--------
The Hazardous Waste and Substances Sites List (Cortese List) is used by the State, local
agencies and developers to comply with the California Environmental Quality Act requirements
in providing information about the location of hazardous materials release sites.
P-1(C) Page 1 of2 Revised 02/13
..
Per the California Environmental Protection Agency's website, "While Government Code
Section 65962.5 [referred to as the Cortese List) makes reference to the preparation of a "list,"
many changes have occurred related to web-based information access since [the amended
statute's effective date in] 1992 and this information is now largely available on the Internet sites
of the responsible organizations. Those requesting a copy of the Cortese "list" are now referred
directly to the appropriate information resources contained on the Internet web sites of the
boards or departments that are referenced in the statute."
Below is a list of agencies that maintain information regarding hazardous waste and substances
sites.
Department of Toxic Substances Control
www.caieoa.ca.gov/sjtecleanup/CorteseList/default.htm
www.calepa.ca.gov/database/calsites
www.envirostor.dtsc.ca.gov/public
EnviroStor Help Desk (916) 323-3400
State Water Resources Control Board
http://geotracker.waterboards.ca.gov/
County of San Diego
Department of Environmental Health Services
www.co.san-diego.ea.us/deh
Hazardous Materials Division
www.sdcounty.ca.gov/deh/hazmatlhazmat permits. html
Mailing Address:
County of San Diego Department of Environmental Health
P.O. Box 129261
San Diego, CA 92112-9261
Call Duty Specialist for technical questions at (858) 505-6880, fax (858) 505-6868 (fax)
Environmental Protection Agency
National Priorities Sites ("Superfund" or "CERCLIS")
www.eoa,aoyJsuperfund/sites{cyrsites
(800) 424-9346 or (702) 284-8214
National Priorities List Sites in the United States
www.eoa.gov/superfund/sites/npl/npl.htm
P-1(C) Page2of2 Revised 02113
Ccicyof
Carlstiad
EIA INFORMATION
FORM
P-1(D}
INSTRUCTION SHEET FOR COMPLETING AN
ENVIRONMENTAL IMPACT ASSESSMENT
INFORMATION FORM
Development Services
Planning Division
1635 Faraday Avenue
(760) 602-4610
www.carlsbadca.gov
This Environmental Information Form will be used to assist staff in determining what type of
environmental documentation (i.e., Environmental Impact Report, Mitigated Negative
Declaration, Negative Declaration or Exemption) will be required to be prepared for your
application, per the California Environmental Quality Act (CEQA) and Title 19 of Carlsbad's
Municipal Code. The clarity and accuracy of the information you provide is critical for purposes
of quickly determining the specific environmental effects of your project.
Any envtronmental studies (i.e., blologlcal, cultural resource, traffic, noise) that . are
necessary to substantiate a uno impact" or "yes impact" determination should be
submitted as an attachment-to this Environmental Information Form. This is especially
important when a Negative Declaration is being sought. The more information provided in this
form, the easier and quicker it will be for staff to complete the Environmental Impact
Assessment Form-Initial Study.
Ps,n,. 1 nf 4
ENVIRONMENTAL INFORMATION FORM
(To be Completed by Applicant}
Date Filed: ,-?d--'2...0 (To be completed by City)
Application Number(s): H HP ::i,o-io-0 001--
General Information
1. Nameofproject: Gor6Pf;eN tz:0?1~
2. Name of developer or project sponsor: 6i ~M Gt Ot=;f.l-f ?eJ\l
Address: f o 9r?)( cq \ ~~ ~
City, State, Zip Code: o//tN t:7~~ o 1 ~A ul.~lb&f
Phone Number: ---~----f> ___ -_4-¥t........,_ ____ -_~ _____ ltq...;..._ ____________ _
3. Name of person to be contacted concerning this project: 6i ~ 6re>~e::N
Address: ~o ~ox ~~~,::;
City, State, Zip Code: o/ld\l -t7 l.~O C,,A t:l\i,\~
Phone Number: q,c; t/:J ... 4-4<:1 .., fb l} I Cl
4. Address of Project: v 0 't" • * ~'-' r~~~ ~'f ·
Assessor's Parcel Number: ?-l '? -~ \-O"I ___ __,;_ ________________ _
5. List and describe any other related permits and other public approvals required for this project,
Including those required by city, regional, state and federal agencies:
Gt V. Wl~ -oo ~'I I r t, u, \Jil -ot7:I i , ,:;; 1,,0 -~ A
6. Existing General Plan Land Use Designation: ~N~ C,OMM\Ai'N lN ( f--C.)
7. Exlstingzonlngdistrict: ~\~'tYOt\, 0--(.c:, 'o\J/Af, (~--\•t::i}
8. Existinglanduse(s): ~f'r-1 lP\ ~IAt~fM'Nl?t\7 "' ~pet-JTIM., ~~-
9. Proposed use of site (Projectforwhich this form is filed): '1\~\..,t, -r¥\ vV ~\~1 ~
~0..o~'fY\Jf·
Project Description
10. Site size: 0·11 ~
11. Proposed Building square footage: 4~t,o
12: Number of floors of construction:
13. Amount of off-street parking provided: l
14. Associated projects: Nl~
P-1m\ Paae2 of4 Revised 07/10
15. If residential, include the number of units and schedule of unit sizes: ________ _
'NcG ~ ~'<Yt ""° ~o.ft ~ A 4,-\ N t-\,~ -~ l v'i U4-" t> a-JC'\,t\..-
~ aohwaN, GP l'l4-\~ n Nt. 0 ~ o Ne C :1 \ vu r.
16. If commercial, indicate the type, whether neighborhood, city or regionally oriented, square footage
of sales area, and loading facilities: ___ N➔~--------------------
17. If industrial, indicate type, estimated employment per shift, and loading facilities: ..... tv__._)c\ ___ _
18.
19.
P-1(0)
If institutional, indicate the major function, estimated employment per shift, :stimated occupancy,
loading facilities, and community benefits to be derived from the project: ___ tJ_1 .... ~-------
If the project involves a variance, conditional use or rezoning applications. state this and Indicate
clearly why the application is required: ... tJr.;;....a;\";....-----------------
Page 3of4 Revised 07/10
Are the following items applicable to the project or its effects? Discuss all items checked yes (attach
additional sheets as necessary).
~ No
20. Change in existing features of any bays, tidelands, beaches, or hills, or substantial □ alteration of ground contours.
21. Change in scenic views or vistas from existing residential areas or public lands or □ 0 roads.
22. Change in pattern, scale or character of general area of project. □ ~
23. Significant amounts of solid waste or litter. □ ~
24. Change in dust, ash, smoke, fumes or odors in vicinity. □ ~
25. Change in ocean, bay, lake, stream or ground water quality or quantity, or D E1 alteration of existing drainage patterns.
26. Substantial change in existing noise or vibration levels in the vicinity. □ ~
27. Site on filled land or on slope of 1 O percent or more. ~ D
28. Use of disposal of potentially hazardous materials, such as toxic substances, D @
flammables or explosives.
29. Substantial change in demand for municipal services (police, fire, water, sewage, □ ~
etc.).
30. Substantially increase fossil fuel consumption (electricity, oil, natural gas, etc.). □ [2f'
31. Relationship to a larger project or series of projects. □ ~
Environmental Setting
Attach sheets that include a response to the following questions:
32. Describe the project site as It exists before the project, including information on topography, soil
stability, plants and animals, and any cultural, historical or scenic aspects. Describe any existing
structures on the site, and the use of the structures. Attach photographs of the site. Snapshots
or Polaroid photos will be accepted.
33. Describe the surrounding properties, including information on plants and animals and any
cultural, historical or scenic aspects. Indicate the type of land use (residential, commercial, etc.),
Intensity of land use (one-family, apartment houses, shops, department stores, etc.), and scale of
development (height, frontage, set-back, rear yard, etc.). Attach photographs of the vicinity.
Snapshots or polaroid photos will be accepted.
Certification
I hereby certify that the statements furnished above and in the attached exhibits present the data and
information required for this initial evaluation to the best of my ability, and that the facts, statements, and
information presented are true and correct to the best of my knowledge and belief.
Dale: #",./4]::k' Slgna!]p:-_,..-•~~
For: ~ a,r;;:;.,r1,.
P-1(D) Page 4of4 Revised 07110
PASCO LARET SUITER
& ASSOCIATES
CIVIL ENGINEERING+ LAND PLANNING+ LAND SURVEYING
RE: EIA INFORMATION FORM (P-lD) -ADDITIONAL RESPONSE TO QUESTIONS
20. This project proposes no changes to features such as bays, tidelands, beaches, or hills.
However, there are proposed alterations to ground contours. The site is currently a
moderately sloped hill on an empty lot in the middle of a full residential development. This
project proposes a graded flat pad to accommodate the construction of a new single-family
residential unit. A graded 2:1 slope is proposed in the southern comer of the lot that will
extend to the proposed pad elevation of 371.33.
27. The existing condition of the site consist of a moderately sloped hill. The slope of the hill
from the northern comer of the lot to the southern comer is approximately 13 percent. The
project proposes cut in the north comer of the lot and fill in the southern comer of the lot.
32. The project site in the existing condition consists of a 0.77-acre empty lot at the comer of El
Fuerte Street and Acuna Court. The lot is moderately sloped at approximately 13 percent
measured from the northern comer to the southern comer of the lot. The site is currently
covered in mostly native vegetation such as Coastal Sage Scrub and Laurel Sumacs. For
more detailed biological information of the site's existing condition refer to "Biological
Letter Report for the Parcel at El Fuerte Street and Acucna Court in Carlsbad, California."
prepared by Tierra Data and included in the submittal of the Habitat Management Plan
Permit-Minor. The site currently has no structures on it.
33. The project site is surrounded by single-family residential development to the northwest and
southwest with Acuna Court to the northeast and El Fuerte Street to the southeast. The
surrounding properties contain hardscape and landscaped improvement typical to residential
development. The project proposes single-family residential development consistent with the
neighboring properties and larger planned community. Front yard, side yard, and rear yard
setbacks for the proposed development will be 20 feet, 10 feet and 20 feet respectively. The
project will have vehicular access from Acuna Court. Photos have been included for visual
representation of existing conditions.
535 N. Highway 101 Suite A, Solana Beach, California 92075 I ph 858.259.8212
27127 Calle Arroyo #1904, San Juan Capistrano, California 92675 I ph 949.661.6695
811 25th Street Suite 101, San Diego, California 92102 I ph 858.259.8212
www .plsaengineering.com
PASCO LARET SUITER
-------& ASSOCIATES
CIVIL ENGINEERING + LAND PLANNING + LAND SURVEYING
Photo 1. Proposed Site Location
Photo 2. Site Frontage from El Fuerte Street
535 N. Highway 101 Suite A, Solana Beach, California 920751 ph 858.259.8212
27127 Calle Arroyo #1904, San Juan Capistrano, California 92675 I ph 949.66 1.6695
811 25th Street Suite 101, San Diego, California 92102 I ph 858.259.8212
www.plsaengineering.com
PASCO LARET SUITER
----------& ASSOCIATES
CIVIL ENGINEERING+ LAND PLANNING+ LAND SURVEYING
Photo 3. Site Frontage from Acuna Court.
Photo 4. Frontage View Northern Neighbor.
Photo 5. Frontage View Southern Neighbor.
535 N. Highway 101 Suite A, Solana Beach, California 92075 I ph 858.259.8212
27127 Calle Arroyo # 1904, San Juan Capistrano, California 92675 I ph 949.661.6695
81 I 25th Street Suite IO I, San Diego, California 92102 I ph 858.259 .8212
www.plsaengineering.com
. ( City of
Carlsbad
STORM WATER STANDARDS
QUESTIONNAIRE
Development Services
Land Development Engineering
1635 Faraday Avenue
(760} 602-2750
www.carlsbadca.gov
E-34
fJNstRucf:ioNs_:; · · · , . ,., .\ .. --,,., . . . . .I
To address post-development pollutants that may be generated from development projects, the city requires that new
development and significant redevelopment priority projects incorporate Permanent Storm Water Best Management
Practices (BMPs) into the project design per Carlsbad BMP Design Manual (BMP Manual). To view the BMP Manual,
refer to the Engineering Standards (Volume 5).
This questionnaire must be completed by the applicant in advance of submitting for a development application
(subdivision, discretionary permits and/or construction permits). The results of the questionnaire determine the level of
storm water standards that must be applied to a proposed development or redevelopment project. Depending on _the
outcome, your project will either be subject to 'STANDARD PROJECT' requirements or be subject to 'PRIORITY
DEVELOPMENT PROJECT' (PDP) requirements.
Your responses to the questionnaire represent an initial assessment of the proposed project conditions and impacts. City
staff has responsibility for making the final assessment after submission of the development application. If staff
determines that the questionnaire was incorrectly filled out and is subject to more stringent storm water standards than
initially assessed by you, this will result in the return of the development application as incomplete. In this case, please
make the changes to the questionnaire and resubmit to the city.
If you are unsure about the meaning of a question or need help in determining how to respond to one or more of the
questions, please seek assistance from Land Development Engineering staff.
A completed and signed questionnaire must be submitted with e_ach development project application. Only one
completed and signed questionnaire is required when multiple development applications for the same project are
submitted concurrently.
PROJECT NAME: GOERTZEN RESIDENCE PROJECT ID: PD2019-0032
ADDRESS: LOT 84-EL FUERTE STREET APN : 215-491-09
The project is (check one): Ix] New Development 0 Redevelopment
The total proposed disturbed area is: 29,014 ft2 ( 0.67 ) acres
The total proposed newly created and/or replaced impervious area ·is: 8 775 ft2 ( 0.2 ) acres
If your project is covered by an approved SWQMP as part of a larger development project, provide the project ID and the
SWQMP # of the larger development project:
Project ID __ N_/A ___ ~--------~ SWQMP #: ________________ _
Then, go to Step 1 and follow the instructions. When completed, sign the form at the end and submit this with your
application to the city.
E-34 Page 1 of 4 REV 02/16
. · ·sTEP 1 .
. · :ro BE c·oMPLETED FO'R ALL _PROJECTS ...
To determine if your project is a "development project", please answer the following question:
YES NO
Is your project LIMITED TO routine maintenance activity and/or repair/improvements to an existing building D Ix]
or structure that do not alter the size (See Section 1.3 of the BMP Design Manual for guidance)?
If you answered "yes" to the above question, provide justification below then go to Step 5, mark the third box stating "my
project is not a 'development project' and not subject to the requirements of the BMP manual" and complete applicant
information.
Justification/discussion: (e.g. the project includes only interior remodels within an existing building):
If ou answered "no"_to the above uestion, the ro·ect is a 'd~yel ·
. , .· STEP 2
TO BE COMPLETED FOR ALL D : ' . ,~ . •· . -
To determine if your project is exempt from PDP requirements pursuant to MS4 Permit Provision E.3.b.(3), please answer
the following questions:
Is your project LIMITED to one or more of the following:
YES NO
1. Constructing new or retrofitting paved sidewalks, bicycle lanes or trails that meet the following criteria:
a) Designed and constructed to direct storm water runoff to adjacent vegetated areas, or other non-
erodible permeable areas; D
b) Designed and constructed to be hydraulically disconnected from paved streets or roads;
c) Designed and constructed with permeable pavements or surfaces in accordance with USEPA
Green Streets uidcrnce?
2. Retrofitting or redeveloping existing pave,0 alleys, streets, or roads that are designed and constructed in
acc_ordance with the_ USEPA Green Streets guidance?
3. Ground Mounted Solar Array that meets the criteria provided in section 1.4.2 of the BMP manual?
□
0 [X]
If you answered "yes" to one or more of the above questions, provide discussion/justification below, then go to Step 5, mark
the second box stating "my project is EXEMPT from PDP ... " and complete applicant information.
Discussion to justify exemption ( e.g. the project redeveloping existing road designed and constructed in accordance with
the USEPA Green Street guidance):
The project proposes to direct storm water from the subject property into one of several on-site private area drains. Area
drains will collect storm water and convey water through a series of pvc drainpipes that will discharge into the existing
brow ditch located near the soutµern property border. Ultimately, all collected storm water will discharge onto El Fuerte
St., a non-erodible area, through a sidewalk underdrain.
E-34 Page 2 of 4 REV 04/17
. 0
.. STEP3 . ,. --•· ...
'
liO BE COMPLETED FOR ALL NEW OR REDEVELOPMENT PROJECTS . . •,, . •. . ~-. . «· . ~
To determine if your project is a PDP, please answer the following questions (MS4 Permit Provision E.3.b.(1 )):
YES NO
1. Is your project a new development that creates 10,000 square feet or more of impervious surfaces
collectively over the entire project site? This includes commercial, industrial, residential, mixed-use, □ [X]
and public development projects on pub.tic or private land.
2. Is your project a redevelopment project creating and/or replacing 5,000 square feet or more of
impervious surface collectively over the entire project site on an existing site of 10,000 square feet or □ IX] more of impervious surface? This includes commercial, industrial, residential, mixed-use, and public
developme_nt projects on public or private land.
3. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a restaurant? A restaurant is
a facility that sells prepared foods and drinks for consumption, including stationary lunch counters and □ [Xl
refreshment stands selling prepared foods and drinks for immediate consumption (Standard Industrial
Classification (SIC) code 5812),
4. Is your project a new or redevelopment project that creates 5,000 square feet or more of impervious
surface collectively over the entire project site and supports a hillside development project? A hillside □ IX]
development proje~t includes development on any natural slope that is twenty-five perc_ent or qreater.
5. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious surface collectively over the entire project site and supports a parking lot? A parking lot is □ IX] a land area or facility for the temporary parking or storage of motor vehicles used personally for
business or for commerce.
6. Is your project a new or redevelopment project that creates and/or replaces 5,000 square feet or more
of impervious street, road, highway, freeway or driveway surface collectively over the entire project □ [XI site? A street, road, highway, freeway or driveway is any paved impervious surface used for the
transportatiqn of automobiles, trucks, motorcycles, and other vehicles. ..
7. Is your project a new or redevelopment project that creates and/or replaces 2,500 square feet or more
of impervious surface collectively over the entire site, and discharges directly to an Environmentally
Sensitive Area (ESA)? "Discharging Directly to" includes flow that is conveyed overland a distance of □ IX]
200 feet or less from the project to the ESA, or conveyed in a pipe or open channel any distance as an
isolated flow from the project to th_e ESA (i._e. not commingled with flows from adia<;ent la!Jds). *
8. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious surface that supports an automotive repair shop? An automotive repair □ IX] shop is a facility that is categorized in any one of the following Standard Industrial Classification (SIC)
. codes: 5013, 5014, 5541, 7532-7534, or.7536-7539.
9. Is your project a new development or redevelopment project that creates and/or replaces 5,000 square
feet or more of impervious area that supports a retail gasoline outlet (RGO)? This category includes □ Ix] RGO's that meet the following criteria: (a) 5,000 square feet or more or (b) a project Average Daily
Traffic (ADT) .Qf 100 or_ more veflicles per d?Y-..
10. Is your project a new or redevelopment project that results in the disturbance of one or more acres of land tl IX] and are expected to generate pollutants post construction? ..
11 . Is your project located within 200 feet of the Pacific Ocean and (1) creates 2,500 square feet or more of
impervious surface or (2) increases impervious surface on the property by more than 10%? (CMC □ [x]
21.203.040)
If you answered "yes" to one or more of the above questions, your project is a PDP. If your project is a redevelopment
project, go to step 4. If your project is a new project, go to step 5, check the first box stating "My project is a PDP ... "
and complete applicant information.
If you answered "no" to all of the above questions, your project is a 'STANDARD PROJECT.' Go to step 5, check the
second box statinq "My project is a 'STANDARD PROJECT' ... " and complete aoolicant information.
E-34 Page 3 of 4 REV 04/17
. . .
"' . ~-.. . S·TEP·41
•
:TO SE. C_OMPLETED.FOR REDEVELOPMENT PROJECTS TH~T-ARE PRIORITY DEVELQPMENT PROJEC::fS (POP)_.:
_·: -. ·.·. : ' . · .. · ... . · :· ' ·' · · : · .. : : .· ONL\f · . · ,·.. · ·. · .· ·, . . .. . . .. ::--. · " . :·-: , .. . _ ..
Complete the questions below regarding your redevelopment project (MS4 Permit Provision E.3.b.(2)):
Does the redevelopment project result in the creation or replacement of impervious surface in an amount
of less than 50% of the surface area of the previously existing development? Complete the percent
impervious calculation below:
Existing impervious area (A) =----,----------'--sq. ft.
Total proposed newly created or replaced impervious area (8) = ___________ sq. ft.
Percent impervious area created or replaced (B/A)*100 = _____ %
YES NO
□ □
If you answered "yes", the structural BMPs required for PDP apply only to the creation or replacement of impervious
surface and not the entire development. Go to step 5, check the first box stating "My project is a PDP ... " and complete
applicant information.
If you answered "no," the structural BM P's required for PDP apply to the entire development. Go to step 5, check the
check the first box statin "M m ·ect is a PDP ... " and com. lete _a licant information.
. . -. . . . . . . _ . : ST'=P 5 · . . . _ . , . __
CH~CK Tt:,E: Al;>,P.~OP~IATE 1;30X'.ANP ·cbMPLETJ: AF»,el...1~.A~r .INfORNIATlqN
D My project is a PDP and must comply with PDP stormwater requirements of the BMP Manual. I understand I must
prepare a Storm Water Quality Management Plan (SWQMP) for submittal at time of application.
Ix] My project is a 'STANDARD PROJECT' OR EXEMPT from PDP and must only comply with 'STANDARD PROJECT'
stormwater requirements of the BMP Manual. As part of these requirements, I will submit a "Standard Project
Requirement Checklist Form E-36" and incorporate low impact development strategies throughout my project.
Note: For projects that are close to meeting the PDP threshold, staff may require detailed impervious area calculations
and exhibits to verify if 'STANDARD PROJECT' stormwater requirements apply.
D My Project is NOT a 'development project' and is not subject to the requirements of the BMP Manual.
Applicant Information and Signature Box
Applicant Name: _Gr_e_g_G~_ o_e_rt_z_e_n~----------
Applicant Signature: ~
Applicant Title: Developer/Owner
Date: 8/28/2019
• Environmentally Sensitive Areas include but are not limited to all Clean Water Act Section 303(d) impaired water bodies; areas designated as Areas of Special
Biological Significance by the State Water Resources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and amendments); water bodies
designated with the RARE beneficial use by the State Water ~esources Control Board (Water Quality Control Plan for the San Diego Basin (1994) and
amendments); areas designated as preserves or their equivalent under the Multi Species Conseivation Program within the Cities and County of San Diego; Habitat
Management Plan; and any other equivalent environmentally sensitive areas which have been identified by the City.
This Box for City Use Only
YES NO
City Concurrence: □ □
By:
Date:
Project ID:
E-34 Page 4 of 4 REV 04/17
(city of
Carlsbad
~TANDARD PROJECT
REQUIREMENT
CHECKLIST
E-36
Project Name: Goertzen Residence
Project ID: PD201.9-0032
DWG No. or Building Permit No .: .520-SA/ GR2019-0039
Development Services
Land Development Engineering
1635 Faraday Avenue
{760} 602-2750
www.carlsbadca.gov
All development projects must implement source control BMPs SC-1 through SC-6 where applicable and feasible . See
Chapter 4 and Appendix E.1 of the BMP Design Manual (Volume 5 of City Engineering Standards) for information to
implement source control BMPs shown in this checklist.
Answer each category below pursuant to the following.
• "Yes" means the project will implement the source control BMP as described in Chapter 4 and/or Appendix E.1 of the
Model BMP Design Manual. Discussion/justification is not required.
• "No" means the BMP is applicable to the project but it is not feasible to implement. Discussion/justification must be
provided. Please add attachments if more space is needed .
• "N/A" means the BMP is not applicable at the project site because the project does not include the feature that is
addressed by the BMP (e.g., the project has no outdoor materials storage areas). Discussion/justification may be
. rovided.
SC-1 Prevention of Illicit Discharges into the MS4 ~ Yes □ No □ N/A
Discussion/justification if SC-1 not implemented:
SC-2 Starin Drain Stenciling or Signage
Discussion/justification if SC-2 not itnplernented:
Project does not propose public storm drain.
SC-3 Protect Outdoor Materials Storage Areas from Rainfall, Run-On, Runoff, and Wind
Dispersal
Discussion/justification if SC-3 not implemented:
E-36 Page 1 of 4
□ Yes CJ No ~ N/A
Ii] Yes □ No □ N/A
Revised 09/16
. , Source CQ "ot Reaulrement (contln'ued) . .. i·. · ... · .... ·· Aoolle-d?,. -:.:
SC-4 Protect Materials Stored in 01:ritloor Work Areas from Rainfall, Run-On, Runoff, and Ii] Yes □ No D NIA Wind Dispersal ..
Discussion/justification if SC-4 not implemented:
SC-5 Protect Trash Storage Areas from Rainfall, Run-On, Runoff, and Wind Dispersal Ii] Yes D No □ NIA
Discussion/justification if SC-5 not im plemented:
..
SC-6 Additional BMPs based on Potential Sources of Runoff Pollutants must answer for each source listed below and
. identify additional BMPs. (See Table in Appendix E.1 of BMP Manual for guidance).
□ On-site storm drain inlets □ Yes □ No lil N/A
□ Interior floor drains and elevator shaft sump pumps □ Yes □ No Ii] N/A
□ Interior parking garages □Yes □ No lil N/A
Ii] Need for future indoor & structural pest control li]Yes □ No D N/A
□ Landscape/Outdoor Pesticid_e Use □ Yes □ No Ii] N/A
□ Pools, spas, ponds, decorative fountains, and other water features □Yes □ No lil N/A
□ Food service □Yes □ No lil N/A
□ Refuse areas □ Yes 0 No lil N/A
□ Industrial processes □ Yes D No ~ NIA
Ii] Outdoor storage of equipment or materials lilYes □ No □ NIA . .
□ Vehicle and Equipment Cleaning □Yes 0 No lil N/A
O Vehicle/Equipment Repair and Maintenance D Yes □ No lil N/A
□ Fuel Dispensing Areas □Yes □ No lil N/A
□ Loading Docks □Yes □ No lil N/A
□ Fire Sprinkler Test Water □ Yes □ No lil N/A
□ Miscellaneous Drain or Wash Water □ Yes □ No lil N/A
□ Plazas, sidewalks, and parking lots □Yes □ No lil N/A
For "Yes" answers, identify the additional BMP per Appendix E.1 . Provide justification for "No" answers.
SC-6(02): Landscaping has been designed to minimize irrigation and runoff.
SC-6(1): If outdoor storage of construction material is required, storage will occur on or hear PCC
driveway area and will be covered. On-site private area drains will have gravel bag inlet protection and
the graded pad will have a berm around the perimeter at top of slope to prevent any runoff onto
unprotected areas.
E-36 Paoe 2 of 4 Revised 09/16
•
. ;, .,, ,, ·,1 / "\1 ,.
Site Design BMPs
., '' .
• '' " ,., ' . ,·: ·,, "' .. '' ," '·' ' ' '' +.'
All development projects must implement site design BMPs SD-1 through SD-8 where applicable and feasible. See
Chapter 4 and Appendix E.2 thru E.6 of the BMP Design Manual (Volume 5 of City Engineering Standards) for information
to implement site design BMPs shown in this checklist.
Answer_each category below pursuant to the following.
• "Yes" means the project will implement the site design BMPs as described in Chapter 4 and/or Appendix E.2 thru E.6 of
the Model BMP Design Manual. Discussion/ justification is not required.
• "No" means the BMPs is applicable to the project but it is not feasible to implement. Discussion/justification must be
provided. Please add attachments if more space is needed.
• "NIA" means the BMPs is not applicable at the project site because the project does not include the feature that is
addressed by the BMPs (e.g., the project site has no existing natural areas to conserve). Discussion/justification may be
provided.
'' " ~lte Design R~·quJrerrieilt ..
,,, .. I . . Appljed? _ " : ' . '"' ' . ... .. .: , .. · .
c ''.
SD-1 Maintain Natural Drairiaqe Pathways and Hydroloqic Features I ~ Yes I 0 No I □ N/A
Discussion/justification if SD-1 not implemented:
SD-2 C_onserve Na~ural Areas, Soils, and Vegetation I ~ Yes I 0 No I □ N/A
Discussion/justification if SD-2 not implemented:
SD-3 Minimize Impervious Area . ' I ~Yes I □ No ION/A
Discussion/justification if SD-3 not implemented:
SD-4 Minimize Soil Corr,pacJion ·1 □ Yes I □ No I~ N/A
Discussion/justification if SD-4 not implemented:
SD-5 lmpervious_A~ea Dispersion I ~Yes I 0 No I □ N/A
Discussion/justification if SD-5 not implemented:
E-36 Paqe 3 of 4 Revised 09/16
•
,, Site Desf Regt.ilrement {continued}-.. ,;_ .. ·'.'.'°::',,;,,..:;I._: .. .. ·,1 Applied? A .. ., ....
SD-6 Runoff Collection I □Yes I D No 1 ~ N/A
Discussion/justification if SD-6 not implemented:
The project is not proposing runoff collection .
. ..
SD-7 Landscaping with Nati_ve or Drought Tolerant Species . I Ii] Yes I D No ID NIA
Discussion/justification if SD-7 not implemented:
..
SD-8 Harvesting and Us_ing_ Precipitation I □Yes I D No I~ NIA
Discussion/justification if SD-8 not itnplemented:
The project is not proposing an precipitation harvesting activities.
E-36 Paqe 4 of 4 Revised 09/16